From: Billie Lynn Allard

January 16, 2015

This information would be very helpful in our work as transitional care nurses in the ennington service area. We find that physicians do not have the time to pore through information but need assistance to have critical information provided to them by the supporting care team. We spend too much time trying to collect all of this data ourselves which is probably true in each silo of care. If there was a central place to log in the data and share, that wouldbe a huge time saver so we could spend more time working directly with the patients and families. (Billie Lynn Allard MS, RN) unable to do conference call today

From:  Jennifer Fels

January 15, 2015

1. No sharing of information when a patient is seen by an OB provider and they are also receiving Spoke services
2. UCS does not know when a patient is discharged from a inpatient psychiatric facility
3. Allergy information is not shared across settings

From: Sue Aranoff

January 16, 2015

I suggest adding questions re: the client’s consent for the transfer of info—

e.g.

where release can be found?

date of release b/c some/ maybe most?

releases expire automatically one year after being signed…

scope of the release – esp. what providers and info is covered by the release – any specific exclusions?

And – there might  be more than one release at play- typically each provider  has their own….

From:  Barbara Winters

January 15, 2015

1. knowing when someone has head/brain injury in their problem/diagnosis list
2. knowing who/what organizations are involved in the care transition